DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CONNIE HALE NP

MEDICARE: DR. CONNIE HALE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry PhysicianAP03832LA
2276400000XSubstance Use Disorder Rehabilitation Hospital UnitAP03832LA
3283Q00000XPsychiatric HospitalAP03832LA
4363LF0000XFamily Nurse PractitionerAP03832LA
5363LP0808XPsychiatric/Mental Health Nurse PractitionerAP03832LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790751642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNIE HALE NP
Provider Business Mailing Address
First Line : 240 PICCADILLY CIR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-7127
Country : US
Telephone Number : 318-422-4620
Fax Number :
Provider Business Practice Location Address
First Line : 3018 OLD MINDEN RD STE 1117
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71112-2497
Country : US
Telephone Number : 318-746-1935
Fax Number : 318-746-2514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 09/04/2019

Similar Medicare Providers

1568838274 — NIKITA BLACK MSW
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax: 318-746-2514
1801262514 — SHAMISA WASHINGTON LPC
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax: 318-746-2514
1023484730 — LINDA THOMAS LPC
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax: 318-746-2514
1629440300 — LATONZIA BEAVERS
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax:
1851763536 — JA'DETRICK STEWART
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax:
1467824144 — OBOSSEY MOORE
Practice Location Address:
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497
Practice Phone: 318-746-1935
Practice Fax:

Directions to “ DR. CONNIE HALE NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.